Facts About Vasectomy
A vasectomy (also known as male sterilisation) is a minimally invasive surgical procedure involving the division and sealing of the vas (the tubes that carry sperm) to permanently prevent female egg fertilisation resulting in pregnancy. The vasectomy procedure is routinely carried out under local anaesthetic meaning the area is fully numbed using a local anaesthetic injection and you cannot feel anything during the procedure. The procedure takes 15 to 20 minutes in it’s entirety. It is not uncommon for a patient to comment ‘is that it?’ once the procedure has finished.
Vasectomy surgery is over 99% effective and is considered permanent – meaning that you do not have to think about using alternative forms of contraception once the procedure has been done and sterility has been confirmed which is usually after a semen analysis taken at 16 weeks post surgery. You will need to use contraception for at least 16 weeks after the operation until up to two semen analysis tests are done to ensure there are no sperm left in the the tubes leading to the penis. It is important to remember that vasectomy does not protect against sexually transmitted infections (STI’s) and as such you may need to use condoms.
Common Questions about Vasectomy Surgery
Will the surgery affect my sex drive?
Vasectomy surgery will not affect your sex drive, your testicles will continue to produce the male hormone testosterone just as they did before he procedure. Your sex drive, sensation and ability to have an erection won’t be affected.
Will I still ejaculate?
Yes you will still ejaculate as normal after vasectomy surgery however your semen will not contain sperm.
Can I have the surgery if I am single?
Yes, you do not need anyone else’s consent to surgery aside from your own. If you are in a relationship we do advise that you make a joint decision with your partner.
Can being sterile affect me emotionally?
It’s a big decision to have a vasectomy, so you should think it over carefully. If you’re sure about your decision, you may feel relieved that you don’t need to think about contraception and the possibility of pregnancy again. But if you feel anxious or uncomfortable about the procedure, or you think you would find it hard to accept being infertile, it may not be suitable for you.
Is there any risk of vasectomy causing cancer?
Prostate cancer and testicular cancer can happen in men who have had a vasectomy just as in men who haven’t had the procedure. There is not enough evidence to be sure if having a vasectomy increases your risk of developing prostate cancer. Speak to a GP if you have any concerns.
Can I get a vasectomy reversed?
Whether or not a vasectomy reversal is successful can depend on how long ago the vasectomy was done. The longer ago it was done, the less likely it is a reversal will be successful.
Can I use IVF to father a child?
If you have a vasectomy and later decide that you want a child, you may be able to use IVF. To do this, a surgeon would retrieve sperm from your testicles and use this to fertilise your partner’s egg.
Can I store sperm in a sperm bank, just in case?
You could, but as with IVF, sperm stored in a sperm bank can’t be relied on to bring about a pregnancy. It can also be expensive.
How is vasectomy surgery carried out
A vasectomy is a quick and relatively painless surgical procedure. In most cases, you’ll be able to return home within an hour after the procedure. Mr Valliattu performs the Non-Scalpel Vasectomy at FACEmed.
He will first numb the scrotum with local anaesthetic. He will then make a tiny puncture hole in the skin of the scrotum to reach the tubes. This means there is no need to cut the skin with a scalpel.
The tubes are then sealed using an instrument called electrocautery which burns the inside lining of the vas (tube carrying sperm)and the vas heals later by scarring resulting in blockage of the tube.
There is little bleeding and no stitches with this procedure. It is thought to be less painful and less likely to cause complications than a conventional vasectomy.
Above Pic: Male anatomy depicting the split and sealed vas.
RISKS OF VASECTOMY SURGERY
As with any surgical procedure there are risks involved. Vasectomy surgery is very difficult to reverse so it is important that you take the decision to have a vasectomy very seriously. Again, as with any surgery there is a rare risk of infection (rare because of the minimally invasive technique used nevertheless still a risk). You scrotum may become bruised, swollen or painful and there is a small risk of ongoing pain or discomfort for which further surgery may be required. There is a very rare risk of the vas deferens (the tube leading to the testicles) becoming reconnected. A possible complication of surgery is a collection of blood forming inside the scrotum (aka a haematoma) or hard lumps called sperm granulomas (caused by sperm leaking from the tubes) which again could mean further surgery.
Speak to a member of the FACEmed team for more information or to book your initial assessment. Call 01268833680 or email email@example.com
Your Vastectomy Surgery Clinician:
DR ABY VALLIATTU
|Initial Consultation (deducted from surgical cost if surgery proceeds)
|Vasectomy Surgery (includes follow-up appointment if required and 16 week semen testing)